HomeMy WebLinkAboutStreet Cut Permit 21 Breezy Hill Drive Permit No. 4330 Town of South Windsor, CT
Date 11/03/2006 Street Excavation Permit
Expiration Date 11/03/2007 A
Descrip: EMERGENCY WATER MAIN;<<i2EPZYT2 <'sTK°ri ,
Applicant '' •,: `3. i•' .<. . : `r
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Name CONNECTICUT WATEIV, COK AfY
D"RfV.
Addr. 25 NORTH ROAD
EAST WINDSOR CT06 88'''"� �`' 'F�4 �� _
Phone (860)292-5552
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Applicant agree VV'Af ' he :o x <c ` •$::uCh Win:: s `; ti e a�ii daunt of bond
required and to re 's :;-
byt own a •:S' ; h= <{`
€ i..,:f.�>:;• �:a�::.x;:,.<a�k 'iris or t'�ri: yex�e�s e s
incurred the Tow ft: a.' " "'r? eri :t 'c r "" { rk id2'" o :c. iln with this
permit and that app i jjt sry miTzy r"`i,� ?i ttii z z Jr ;bhp th-h rules and
regulations for permt: ' as° tii •1i4 >» wf5;iiit't.IWinis is Street
Cut Per s...... ...^. 9
Permit Manual.
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* * PERMIT'I 's
B& 'IEFx' ON_.3 ' T '7 '.`.: 'ti
Issued by x fide +`z
Date Completed — ,.>::<.z<.;<.:�;>:<- I;ns'pe'�`t"ed By.
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4330 Contrzal r CONNE T—QVT WATER COMPANY
Location 0021 BREEZY HILL DRIV
,
Type Work WATER a f 5 WI19 edR CZ``°::g6088
>°
Date Insp Needed
Time Insp Needed ` `'u'
By
Inspected :
Work in Progress
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--------------------------
F?'ate s/ ® -
NOV. 2. 2006 5: OOPM CONNECTICUT WATER CO NO. 060 P. 1 '
Post-Itu heX Note 7671 Da_e �� Z�pd 4,90ele". ,
To z`'. r ET EXCAVATION. PERMIT q -3-30
From
Co./Dept. Co. Ctc7Cr SUTH WIND•SOR -
Phone# phone KS DEP'ARTMI:NT Permit No.
�Z3-n!q
IN HALL
Fax# �d - 7��a Fax
# 1YAN AVENUE
DSOR,CT 06074
i-IGr- $25.00
'Name of Fiat rxGr,� Lr� -c,,r, Ca
Address-of-Firm Phone fro. C',?3-3,3�5 S _ x _ boy
-- -- ---- — -----
Location of prOPOsed wo 2/ G L
Uescxibe Fvliy mature of permit requesto
Starting date o o
Call Before You Drg Nod Approx.time for completion Zos
coo a sty' Tr 'tc Services Confrol No.
Show sketch Of Proposed walk o furnish
iwa 000es Of separate drawing This section.to be fii(ed out by
Indicate North
own of sagMW dsof
Pavement Cut
• I" No.cuts
Est.'Size of Perm_Paws)
Est.Pvt 7hj*Kt 65'�w in.
• Est Unit Price$
Arntef Deposit
• 1 Taw Due�
by ..
Cash( )Check 0
Ponnanent Patch NO. Cute
Size of paws)
• � pithal Bi9`utg .
8 r Arta,Due Payee
Amt.ow Town
APICant is onslble for con By
the ice D t.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND.REQUIRED AND TO REIMBU
TOWN CT OF 30WIT THIS FOR ANY F�pBAM F MILIA REp gY THE TOWN FOR MAINTENAtVC6 0R REPAtR WORK IN
CONNECTION UTU THIS PERMITO_ THAT I AM FAMILIAR WITH AND WILL ASIDE 6'Y THE RULES AND REGULATIONS FOR
PERMT 5 AS OU11lNE0 IN flit=TO Op SOUTH WINDSOR'S STRFET CUT PERMIT'MANUAL.
Signed• � � .
Date• Q' D6 '
Tltle• � i2 vt..s � t3 �x.rton ,a ��'�� •
R✓•eeJ DrhmesLictxlse#•
PERMIT SHALL BE KEPT ON d0136ITE AT ALL,TIMES
Bernard Drabek
L Locate Re uest 20064300015
,., . .. , _ . . .ff x ,
.Page 1
From: <Cal[Center@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Fri, Oct 20, 2006 11:48 PM
Subject: Locate Request-20064300015
(CALL BEFORE YOU DIG -CT) 10/20/2006 23:47:36
-5G -C1 -CW -GV
-OT 1-SW SWINDS -T5
--------------------------------------------------------------------------
**'**EMERGENCY*****
TIME..23:47 DATE..10/20/2006
REQUEST NO...20064300015
LATITUDE..41.8299121 LONG ITUDE..-72.5430755
TOWN......SOUTH WINDSOR
ADDRESS...22
STREET....BREEZY HILL DR
NEAREST
CROSS STREET..TIMBER TRAIL
--------------------------------------------------------------------------
TYPE OF WORK.....EMERGENCY WATER MAIN REPAIR
AREA IS MARKED...YES ( „
REMARKS:
LOC IN STREET ONLY
CREW EN ROUTE
A/24 KIM 10/20/06 @ 23:46
--------------------------------------------------------------------------
START DATE......10/21/2006 START TIME..00:00
CALLER..........KEITH WATERHOUSE
CALL BACK.......ANYTIME
PHONE#.........860-205-0605
FAX#...........
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......CONNECTICUT WATER CO
ADDRESS.........25 NORTH RD
CITY............EAST WINDSOR
STATE...........CT
Z I P.............06088
--------------------------------------------------------------------------
EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
Bernard Drabek Locate Request-20064300015 Pa e 2
CALL BACK: 1)DATE: TIME: BY: 2)DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED: